This can range from using the tongue, lips, mouth, movement of the head to voice activated interfaces utilizing speech recognition software and a microphone or bluetooth technology.
Examples of available hands-free computing devices include mouth-operated joystick types such as the TetraMouse, the QuadJoy, the Jouse2 and the IntegraMouse and camera based head tracking systems such as SmartNav, Tracker Pro, FreeTrack, HeadMouse Extreme and HeadMaster. The joystick types require no physical connections to the user and enhances the user's feeling of independence. Camera types require targets mounted on the user, usually with the help of a caregiver, that are sensed by the camera and associated software. Camera types are sensitive to ambient lighting and the mouse pointer may drift and inaccuracies result from head movements not intended to be mouse movements. Other examples of hands-free mice are units that are operated using switches that may be operated by the feet (or other parts of the body), such as the NoHands Mouse and the switch-adapted TetraMouse.